401k Plan data: BROTHER GROUP HEALTH CARE SPENDING ACCOUNT PLAN plan

BROTHER GROUP HEALTH CARE SPENDING ACCOUNT PLAN 401k Plan overview

Plan Name	BROTHER GROUP HEALTH CARE SPENDING ACCOUNT PLAN
Plan identification number	503

BROTHER GROUP HEALTH CARE SPENDING ACCOUNT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

BROTHER INTERNATIONAL CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: BROTHER INTERNATIONAL CORPORATION

Employer identification number (EIN): 223142007

NAIC Classification: 423990
NAIC Description: Other Miscellaneous Durable Goods Merchant Wholesalers

Additional information about BROTHER INTERNATIONAL CORPORATION

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1995-03-29

Company Identification Number: 0010419106

Legal Registered Office Address: 200 CROSSING BLVD

BRIDGEWATER
United States of America (USA)
08807

More information about BROTHER INTERNATIONAL CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BROTHER GROUP HEALTH CARE SPENDING ACCOUNT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2016-01-01 HENRY SACCO HENRY SACCO 2017-10-05
503 2015-01-01 HENRY SACCO HENRY SACCO 2017-10-02
503 2014-01-01 HENRY SACCO HENRY SACCO 2017-10-02

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
503	2016-01-01	HENRY SACCO	HENRY SACCO	2017-10-05
503	2015-01-01	HENRY SACCO	HENRY SACCO	2017-10-02
503	2014-01-01	HENRY SACCO	HENRY SACCO	2017-10-02

Plan Statistics for BROTHER GROUP HEALTH CARE SPENDING ACCOUNT PLAN

401k plan membership statisitcs for BROTHER GROUP HEALTH CARE SPENDING ACCOUNT PLAN

Measure Date Value
2016: BROTHER GROUP HEALTH CARE SPENDING ACCOUNT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 195
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
2015: BROTHER GROUP HEALTH CARE SPENDING ACCOUNT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 142
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 136
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 136
2014: BROTHER GROUP HEALTH CARE SPENDING ACCOUNT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 156
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 155
Number of retired or separated participants receiving benefits 2014-01-01 20
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 175

Measure	Date	Value
2016: BROTHER GROUP HEALTH CARE SPENDING ACCOUNT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	195
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
2015: BROTHER GROUP HEALTH CARE SPENDING ACCOUNT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	142
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	136
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	136
2014: BROTHER GROUP HEALTH CARE SPENDING ACCOUNT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	156
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	155
Number of retired or separated participants receiving benefits	2014-01-01	20
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	175

Form 5500 Responses for BROTHER GROUP HEALTH CARE SPENDING ACCOUNT PLAN

2016: BROTHER GROUP HEALTH CARE SPENDING ACCOUNT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: BROTHER GROUP HEALTH CARE SPENDING ACCOUNT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: BROTHER GROUP HEALTH CARE SPENDING ACCOUNT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	BROTHER INTERNATIONAL CORPORATION
Employer identification number (EIN):	223142007
NAIC Classification:	423990
NAIC Description:	Other Miscellaneous Durable Goods Merchant Wholesalers

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1995-03-29
Company Identification Number:	0010419106
Legal Registered Office Address:	200 CROSSING BLVD BRIDGEWATER United States of America (USA) 08807